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Integrated Healthy Lifestyle Service Survey

Thank you

Thank you for completing this survey. Your responses have been submitted successfully and will help shape the Integrated Healthy Lifestyle Service in West Northamptonshire.

Step 1 of 13

About You

Data protection consultation

In this form, we will ask for some personal information (such as name and email) in order to fulfil your request for information or services. This information will be held securely and will be used to provide you with the service you have requested.

Any processing will be performed in line with the requirements of the Data Protection Act 2018 and the General Data Protection Regulation (GDPR).

West Northamptonshire Council is registered as a Data Controller with the Information Commissioner's Office under the reference number ZA896620. Further details about how we process personal data can be found in our privacy notice (opens in new tab).

Which of these best describes you?

Your Health and Wellbeing

Overall, how would you currently rate your health?
Which of these are most important to you in staying healthy?

Choose up to three

Being Physically Active

In a typical week, how much time do you spend being active?

This could include activities such as walking, cycling, running, swimming, dancing or going to the gym.

Please choose one answer

What, if anything, makes it difficult for you to be active?

Choose up to three

Food and Drink

Thinking about the food and drinks you usually have, how healthy would you say your diet is?
What, if anything, makes it harder for you to eat healthily?

Choose up to three

Smoking and Alcohol

Do you currently smoke or vape? Choose which one of these best describes you.
How often do you feel that you drink more alcohol than is good for your health?

Your Mental Wellbeing

How would you rate your mental wellbeing at the moment?
What has the biggest impact on your mental wellbeing?

Choose up to three

Your Experience of Local Services

If you wanted support to stay or be more healthy, where would you most likely seek help?

Select all that apply

Thinking about the last three years, which of these have you used in West Northamptonshire?

Select all that apply

Barriers to Health and Wellbeing

Which of the following, if any, make it difficult to improve or maintain your health and wellbeing?

Select all that apply

Future Service Offer

What aspect of health and wellbeing would you be interested in receiving support with, if any, to improve your health and wellbeing?

Select all that apply

If an integrated healthy lifestyle service was designed for West Northamptonshire, what support do you think the service should offer?

Select all that apply

How the Service Should Work

What do you think is most important in how a healthy lifestyle service should work?

Choose up to five

If information, advice or support was available, what format would you be interested in using?

Select all that apply

If information, advice or support was available, how would you prefer support to be delivered?

Select all that apply

What level of support would you find most helpful?

Where and Who Should Provide Support

Where would you prefer support to be available?

Select all that apply

Who do you think is best placed to provide healthy lifestyle support?

Select all that apply

Using the Service

If a free, personalised healthy lifestyle service was available in West Northamptonshire, how likely would you be to use it?
What would make you more likely to use a healthy lifestyle service?

Choose up to three

About You

We use this to understand which areas responses come from. You can enter just the first part (e.g. NN1) if you prefer.

What is your age?
What is your gender?
What is your ethnic group?
Do you consider yourself to have a disability or long-term health condition?
What is your current employment status?

Please select one option

Do you have any caring responsibilities?
Would you like to receive a copy of your answers by email?